| NPI | 1043467830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801006981) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: MI 6801006981) |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |